Vaccines CPT 90660 Outpatient

Nasal flu vaccine (FluMist) cost in Sioux Falls, SD

In Sioux Falls, SD-MN, 1 hospital lists a cash price for nasal spray flu vaccine, live (FluMist): from $48.00 to $48.00, with a median of $48.00. Across South Dakota, the median is $52.80 at 8 hospitals.

Cash prices at 1 facility for code 90660, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 30, 2026 and Apr 30, 2026.

Lowest$48.00Pioneer Memorial Hospital - Cah

Median$48.00half of hospitals charge less

Highest$48.00in this market

Difference1.0×highest vs lowest

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Pioneer Memorial Hospital - Cah Viborg, SD · (605) 326-5161 CDMR FLU VACCINE TRIVALENT LIVE INTRANASAL USE File of Apr 30, 2026 · source file	$48.00	$48.00	$16.80–$46.08	—

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $48.00, median $48.00, highest $48.00.

As an inpatient, the same code is billed by 1 facility here, median $48.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

FluMist is a live flu vaccine sprayed into the nose instead of injected, for healthy people aged 2 to 49 who are not pregnant.

What the price covers

The price is for the vaccine dose. Giving an oral or nasal vaccine is billed as 90473 rather than the injection fee 90471; ask whether it is included.